HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-countv.com
TYPE OF CONSTRUCTION
1)--(1 Commercial/Multi-Family
n Manufactured Home (Single or Multi -Level)
,=Demolition
Residential (SF, Duplex or Townhome)
LJ Reroof
n Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
INVOLVED PARTIES
Property Owner:
Mailing Address:
Email Address:
Gj IehuJoorI Tex_ ivt t t7
S -10o0 G.)c ?,'Je(5 P(a•Tci
Phone: (9 70 ) `r,'� " i Lze
Gt& cO 0
Aflq,,4-cte 71
Contractor: f` til (c" s f t..c4 adv. Phone: (q 70 ) 319 - l®b I
Mailing Address: Co 2 5 r Fit CT LA) S
Email Address: +o m Ct.0 CO 11 S.11 uLC t iv a (0YVN
r t7 S"i b o I
Architect: I f 1 Vt 14.11,1 Cu4lL -.1 0 0 4+1(5 Phone: (303 ) 413 LI Lt 1J3
Mailing Address: 12- W ilkoi.0 Rik , Su,tL700.4 tJ 07 I6
Email Address: t^^ E -4Q e A- r I (A m fa k e.\ iv • [_ c) 0. -
Engineer: ifGAM uic;,y C Ke aPhone: (0! -7 ) CHC -C1 3E,'
Mailing Address: Pe lip € 3q £1UJ S co Fs16 0 t
Email Address: f't CCC tmKwey •
Manufactured Home Installer: /A Phone: ( )
Mailing Address:
Email Address:
PROJECT DETAILS _
Describe Work: Cao 1-c "` AC Cl r p
q ci . v o 1ck. (?ti) -- No Orr Los
Job Address: --Top e C I ra v-.
S foracle of 'woo
Assessor's Parcel Number: Z 1 4 s— 0940 000 S
Sub. hr'h Set 1411 Aascir(r(N,.. CO- A) Lot Block
Owner's Valuation of Work: $ } 0 0 O
Sq. Ft. of Building 2. 19 3'{ s4 Height: LK L0 # of Floors: 3
Property Size (Sq. Ft. or Acres): • 5-11 Ac ft -
Class of Work:
Garage:
New
Remodel/Alteration
Addition
Attached
Detached
PROJECT DETAILS CONTINUED
Septic:
Type of Heat:
OW TS
.i' Natural Gas
❑ Propane
Community
Electric
F1
Other
Driveway Exempt ❑ Permit #:
Permit:
NOTICE
Authority. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. If the signature below is not that of the Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division.
Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
(3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access
or a State Wastewater Discharge Permit.
Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICATION
I hereby certify that I have read this Application and that the information contained above is true and correct. I
understand that the Building Division accepts the Application, along with the plans and specifications and other
data submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming
completeness of the submittals and approval of this Application, a Building Permit will be issued granting
permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by
the Building Division. In consideration of the issuance of the Building Permit, I agree that I and my agents will
comply with provisions of any federal, state or local law regulating the work and the Garfield County Building
Code, OWTS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the
Building Permit may be suspended or revoked, upon notice from the County, if the location, construction or use
of the structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any
other applicable law.
I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. I
further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping
construction or use of the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other
applicable law. Review of this Application, including submittals, and inspections of the work by the Building
Division do not constitute an acceptance of responsibility or liability by the County of errors, omissions or
discrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, state and local laws
and County Regulations rest ith a and my authorized agents, including without limitation my architect
designer - i _ ineer and/ or . alder -
wledge t a • hay r -d and understand the Notice and Certification above, as well as, have
is rrect and accurate to the best of my knowledge.
I here
provide
_ cum cks I==� e w l r1 �e , 2S 20 19
Date
OFFICIALUSE ON)f
Special Conditions:
.� r f -
Adjusted Valuation:
.73.9.6-19-r)0
Plan Check Fr e:
/68 3:341
Permit Fee:
7581-7c
Manu. Home Fee:
Misc. Fees:
4, 5",t, 52
Tot,a1 Fees:
4 27.07
Fees Paid:
t 100.°1 (g
Balance Due:
?Oioi 1
BP No:
gt.co-511
OWTS No:
VVf CL
Setbacks:
OC Group: ,
Const ype:
h /' _ AZoning:
/ PLANNING
---LBUILDING
DIVISION : -'-k--
9 ' JS " 6
Signe proval Date
/
i (Ig(O.°g) v 3O'l 3,
Garfield County
BUILDING DEPARTMENT
108 Eighth Street, Suite 401, Glenwood Springs, CO 81601
Tel: (970) 945-8212
PLAN REVIEW CHECKLIST
Permit No: kco ® _ SI /!
Building Issues
'WT> Engineered Foundation
/114. Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
- Attach Residential Plan Review List
01 if Subdivision Plat Notes
Planning/Zoning Issues
Fire Department Review yr
Valuation Determination/ Fees
—' Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
L �
Plan Reviewer to Sign Application
Parcel/ Schedule No.
40# Snowload Letter — Manu. Homes
�/ Soils Report
Property Line Setbacks
51,. ( • 30 ft. Stream Setbacks
c1( Flood Plain
12lig)ItiLlluilding Height
Zoning Sign -Off
2133 3•F
Road Impact Fees enir--
Grade/ Topography 40%
N I'!4 Planning Issues
Subdivision Plat
: 'ti`.', jD') - S)7
`PYt -kt 4444_1411 --
Description & Summary;
733 noro72,'1\3
23 3 5(0 / z